Korean J Thorac Cardiovasc Surg.
2001 Aug;34(8):634-639.
Postcardiotomy Central Anticholinergic Syndrome: Report of A Case
- Affiliations
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- 1Department of Cardiovascular and Thoracic Surgery, Asan Medical Center, Ulsan University, Korea.
- 2Department of Anesthesiology, Asan Medical Center, Ulsan University, Korea.
- 3Department of Neurology, Asan Medical Center, Ulsan University, Korea.
Abstract
- Central anticholinergic syndrome is defined as an absolute or relative reduction in cholinergic activity in the central nervous system and has a wide variety of manifestations. It is associated with almost any drug given during anesthesia, except neuromuscular relaxants, and treated with the cholinesterase inhibitor physostigmine. The diagnosis of central anticholinergic syndrome is often made when symptoms resolve promptly after the administration of physostigmine. We present a case of a central anticholinergic syndrome diagnosed by treatment with physostigmine, in a patient who received closure of patent foramen ovale associated with stroke.
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